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74 Cards in this Set
- Front
- Back
Accepting Assignment
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providers of medical services agreeing that the receipt of payment from medicare for a professional service wil constitue full payment for that service
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accreditation
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recognition that a health care organization has met an official standard
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Acute care
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Level of health care, generally provided in hospitals or emergency departments for sudden serious illnesses or trauma
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attending physician
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term applied to a physician who admits and is responsible for a hospital patient
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Capitation
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Payment method whereby the provider of care receives a set dollar amount per patient regardless of services rendered
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Case Manager
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Health care professional and expert in managed care who assists patients in assessing healh and social servce systems to ensure that all required services are obtained coordinates care with doctor and insurance companies.
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Catastrophic Coverage
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Coverage a Medicare beneficiary has after reaching a certain amount of out of pocket monies paid for their medications during the temporary coverage gap.
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Chief Executive officer
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Individual in direct charge of a hospital who is responsible to the governing board.
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Chiropractic Medicine
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Complementary and alternative health care profession with the purpose of diagnosing and treating mechanical disorders of the spine and musculoskeletal system with the intention of affectiong the nervous system and improving health
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Community Health
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Concerned with the memebers of a community with emphasis on prevention and early detection of desease.
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Coverage Gap
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Sometimes called a donut hole a temportrary coverage gap in Medicare that occurs after the beneficiary has accumulated a certain amount of money in total prescription durg expenses.
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Custodial Care
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unskilled care given for the primary purpose of meeting personal needs such as bathing and dressing
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Diangnosis Related Group
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Classification system used to dermine payment form M edicare by assigning a standard flat rate to major diagnostic categories.
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Governing Board
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Group of community citizens at the head of the hospital structure.
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Health Maintenance Organization
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Organization that has management resposibility for providing basis to voluntarily enrolled person with a designated poplualation.
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Home Health
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Equipment and services provided to patient in home to ensure comfort and care
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Homeopathic Medicine
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Alternative medical system A belief that "like cures like"meaning that small highly diluted quantities of medicinal substances are given to cure symtoms when the same substances given at higher or more concentrated doses would actuallly cause those symptoms
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Hospice
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Supportive care for terminally ill patients and their families.
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hospitalist
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full time acute care specialist who focuses exclusinvely on hospitalized patients
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inpatient
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patient who has been admitted to a health care facility for a least 24 hours for treatment and care
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integrated Delivery Networks
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Health care organizations merged into systems that can provide all needed health care services under one corporate umbrella
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international statical clasification of disease and related health problems
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detailed description of known diseases and injuries. each diesease is decribed with its diagnosis and given a uniqed code, up to six character long. published by the World Health Organization.
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Manet Status
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Award given by the American Nurses Credentialing Center to hospitals that satisfy a set of criteria designed to measure their strenght and quality of nursing
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Managed Care
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The use of planned and systenmatic approach to providing health care, with the goal of offering quality care at the lowest posible cost
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Medicaid
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Federal and state program tha provides medical asistance to the indigent
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Medical Savings Accounts
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Tax exempt back accounts that ar owned by an individual, and managed by a financial instiution.
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Medicare
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Government insurance enacted in 1965 for individual older than 65 and any person with disability who has received social security benefits for 2 years
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iMedicare Supplement
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Private insuance plan available to Medicare elegible persons to cover the costs of medical care not covered by Medicare
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Merger
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The combinging of individual physician proactices and small stand alone hospitals into larger networks
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Naturopathic medicine
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Alternative medical system that proposes that there is a healing power in the body that establishes maintains and restores health. Treaments include nutrition and lifestyle couseling, nutritional supplements, medicinal plants, exercise, homeopathy and treatments from traditional chinese medicine
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Outpatient
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Patient who receives care at a health care facilityl but is not admitted to the facility for 24 hours
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Primary Care Physicain
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Sometimes referred to as gate-keepers these general practioners are the first physicians to see a patient for an illness
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Proprietary
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For Profit
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Resident
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A graduate of a medical school who is gaining experience in a hospital
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Robotic Surgery
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The use of robots in performing surgery
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Surfing the web
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Using different websites on the Internet to locate information
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Triage
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Nursing intervention. Classification defined as establishing priorites of patient care, usually according to a three level model emergent, urgent, and non urgent
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voluntary
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not for profit
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Web address (URLor uniform resource locator)
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kEY WORDS THAT WHEN ENTERED AFTER HTTP: ON THE INTERNET WILL TAKE THE USER TO SPECIFIED LOCATION, REFERRED TO AS A WEBSITE
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ANA
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AMERICAN NURSES ASSOCIATION
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ANCC
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AMERICAN NURSES CREDENTIALING CENTER
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CCM
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CERTIFIED CASE MANAGER
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CEO
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CHIEF EXECUTIVE OFFICER
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CFO
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CHIEF FINANCIAL OFFICER
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CFO
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CHIEF FINANCIAL OFFICER
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DO
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DOCTORS OF OSTEOPATHY
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DRG
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DIAGNOSIS RELATED GROUP
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DSU
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DAY SURGERY UNIT
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ECF
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EXTENDED CARE FACILITY
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ED
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EMERGENCY DEPARTMENT
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ER
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EMERGENT ROOM
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HIMS
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HEALTH INFORMATION MANAGEMENT SYSTEM
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HMO
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HEALTH MAINTENANCE ORGANIZATION
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HO
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HOUSE OFFICER
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ICD
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ITERNATIONAL STATISCAL CLASSIFICATION OF DISEASES AND RELATED HEALTH PROBLEMS
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LTC
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LONG TERM CARE
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MD
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MEDICAL DOCTOR
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NEURO
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NEUROLOGY
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OB
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OBSTERICS
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OR
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OPERATING ROOM
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ORTHO
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ORTHOPEDICS
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PACU
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POSTANESTHESIA CARE UNIT
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PCP
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PRIMIARY CARE PHYSICIAN
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PEDS
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PEDIATRICS
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PPO
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PREFERRED PROVIDER ORGANIZATION
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PSYCH
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PSYCHIATRY
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RR
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RECOVERY ROOM
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SDS
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SAVE A DAY -PATIENT ADMITTED DAY OF SURGERY
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SNF
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SKILLED NURSING FACILITY
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SURG
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SURGICAL
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TJC
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THE JOINT COMMISSION
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UCR
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USUAL CUSTOMARY AND REASONABLE
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WHO
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WHORL HEALTH ORGANIZATION
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WWW
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WORLD WIDE WEB
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